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 Plastic Surgery / Cosmetic Surgery / Aesthetic Surgery:
Liposuccion:
Liposuction is quiteápopular procedure. It is designed for the permanent removal of fatty tissue. It is an elective procedure that allows the cosmetic surgeon to remove undesirable, subcutaneous fat in isolated areas that do not respond to diet and exercise. These areas include the hips, thighs, abdomen, knees, ankles, face and neck. Liposuction is most successful in people with good skin tone who have fatty deposits. It in not a treatment for obesity. If weight gain occurs following liposuction, the fat will be deposited in areas that have not been treated. The procedure can be repeated, if necessary. To maintain the safety of the procedure, there is a limit on how much can be done at one time.

A variety of factors can affect the results: Physical condition, genetic makeup, diet, exercise, smoking, alcohol intake, and skin elasticity. Liposuction is done under general anesthesia on an outpatient basis in a hospital or surgical center. The surgeon makes small (less that 1/2 inch), incisions in the areas to be treated. A cannula is inserted in a small incision and attached to a suction machine. The procedure may take an hour or more, depending on how many areas are involved. Recovery from liposuction is relatively easy. You can expectáswelling and bruising in the following two weeks. You will wear special garments provided to apply pressure, minimize swelling and provide support while healing. These garments also assist in retraction of the skin. Stitches will be removed in a week to ten days.

Results are recognizable almost immediately and will continue to improve as swelling subsides. The day after surgery you should be up and walking around. Increase your activity daily until full activity is resumed at 2-4 weeks. You will be ready to return to office work in 3-5 days and more active employment at 10-14 days. Avoid the sun until all bruising has subsided. A sunscreen should be used routinely; it is easy to get sunburned during recovery because of decreased sensation. The results of liposuction are permanent. If you were to gain a large amount of weight you might note rippling in the treated areas, depending on your skin elasticity. á

Abdominoplasty oráThe tummy tuck:
á This surgeryáis designed to remove excess skin from the abdomen at the same time, tightening the abdominal muscles. It is indicated in cases where there is laxity of the abdomen resulting in bulging due to abnormal stretching of the abdominal muscles and skin. Unlike liposuction surgery, which just removes fat, this operation involves removal of skin and fat, with tightening of the abdominal muscles. For this reason, it is more extensive than liposuction. The actual extent of surgery will depend on the amount of excess skin and the laxity of the abdominal muscles.

Prior to tummy tuck surgery, the amount of skin that is to be removed is carefully marked. The operation is usually carried out under general anesthesia. An incision is made in the bikini line and the excess skin is pulled down and inward, and is removed along with underlying fatty tissue. The muscles are tightened as required, the skin is carefully redraped and the incision closed with several layers of suture. á

Eyelid Surgery or Blepheroplasty:
á This operation corrects sagging, or drooping eyelids as well as bags and bulges around the eyes. These conditions develop as a result of laxity of the eyelid skin and protrusion of fat around the eyes. It is not limited to older patients, as many individuals inherit a predisposition toward development of fat pouches at an early age. Excess skin is treated by excision or occasionally by laser resurfacing. If excess fat is present, it can be removed simultaneously. Care must be taken to not remove excessive amounts of fat to avoid a hollowing appearance with increasing age of the patient.

Breast Augmentation/Breast Reduction/Breast Implants/Mammoplasty:
Breast enlargement, or augmentation mammoplasty, enhances the body contour of a woman who is unhappy with her breast size. It may also be used to correct volume loss after pregnancy, or to help balance breast size asymmetries, as well as a reconstructive technique following other breast surgery. The operation is carried out under general anesthesia. An implant (prosthesis) may be placed through an incision, under the breast tissue or under the muscle or through an incision in the belly button region. The incision can be made under the breast, around the nipple or in the armpit. It generally takes one to two hours to complete the entire procedure. A breast implant is usually composed of an outer silicone shell filled with saline (salt water). The outer surface may be smooth or textured, and implants come in various shapes to meet the individual woman's needs.

While breast augmentation will enlarge the breasts, it will not alter basic defects in breast shape or form. Major asymmetries may be improved but will not be completely corrected. A slight difference in the size or shape of the two breasts is considered normal and should not be a cause for concern. If breast size or nipple position asymmetries are severe then additional procedures to further improve symmetry may be necessary

Breast Lift:
Breast lift surgery, or mastopexy, restores a more youthfull appearance to a woman's breasts. Over the years breasts can lose their shape and firmness due to pregnancy, nursing and loss of skin elasticity, causing them to sag. Mastopexy will raise and reshape breasts - slowing the effects of aging and gravity. This procedure can reduce the size of the areola, the darker skin surrounding the nipple.

Mastopexy is commonly performed in conjunction with breast augmentation (implants) to increase breast firmness and size. This may appeal to women who have lost breast volume after pregnancy. Pregnancy and nursing often result in stretched skin and therefore decreased volume. As with all cosmetic surgery, realistic expectations and emotional stability are important. Though breasts of any size can be lifted, women with smaller breasts enjoy longer lasting results.
Note/FAQ : If you are planning a future pregnancy, it is advisable to postpone your breast lift as additional pregnancies will likely cause further stretching.

Breast Reduction:
Large breasts can cause problems in many aspects of a woman's life. When they are larger than the usual standards of attractiveness in our society, the breasts are considered aesthetically displeasing. There can be a feeling of uncomfortable fullness, musculo skeletal problems like, neck or back aches, shoulder grooving. These symptoms may contribute to limited performance in certain occupations and in sports.áLarge breasts can also be difficult to assess for lumps or masses, thus making cancer detection much more difficult for the patient or for her physician. The goal of reduction mammoplasty is to reduce, recontour and reshape the breasts. The breasts are made smaller. The nipple areola complex is repositioned upward, and if indicated, reduced in size. Excess skin and breast tissue is removed from the lower and outer portions of the breast.

A preoperative plan is made which allows both the surgeon and the patient to share in the decision as to the proposed size of the breast after surgery. The surgeon will attempt to make the breasts as identical as possible, but some asymmetry may remain. Further more, it is not possible to predict exactly how larger the breast will finally be after surgery. Healing results in some progressive change in breast size, since some swelling may be present foráfew months following surgery.

Incisions are made in the lower breast resulting in three scars: one around the nipple, which usually heals very nicely; a vertical incision from the nipple to beneath the breast, which remains visible; and finally, an incision in the fold beneath the breast. Breast tissue is sculpted using a combination of sharp dissection and occasional liposuction. The nipple remains attached to the deeper breast tissue. Care is taken to close these incisions as carefully as possible. Nevertheless, patients must realize that resultant scarring is as much a factor of tissue response as it is surgical skill, and occasionally wide scars can form despite a nice overall breast shape. Most often, with time, these scars do tend to blend into the normal skin, becoming less noticeable.

Rhinoplasty or Nose Job:
á Rhinoplasty (nose) is an operation to improve the shape and size of the nose so that it is in harmony with the rest of the face. Rhinoplasty is essentially a surgical sculpting of the nose and is accomplished by careful contouring of the bone and cartilage giving the nose its shape. At the same time deformities that cause breathing problems and some sinus disorders can be corrected. Most incisions (seamless rhinoplasty) are placed inside the nose where they are least visible. Rhinoplasty is performed under sedation with local anesthesia. The surgery takes approximately one and one-half to two hours. The use of "seamless" nose surgery allows for no visible external scars and with this type of seamless nose surgery discomfort is minimized because no plates, tubes or painful packaging are used.

Rhinoplasty is often an enhancement to facial rejuvenation, particularly in the correction of the aging nose (drooping of the tip). A significant combination effect is seen with facial augmentation along with Nose Job.
In most instances, change in appearance can be seen immediately.
á
Forehead lift:
á The endoscopic forehead and browlift is designed to raise the eyebrows and upper eyelids, and soften or flatten deep frown lines between the eyebrows. By endoscopic method, the surgeon is able to visualized and manipulate instruments through tiny, obscure incisions.This technologyáreduces theáprobabilities of hair loss and unsightly scars previously noted in coronal forehead lifts. When forehead lift combines with an upper and lower blepharoplasty,ábetter rejuvenation of the upper one-third of the face couldábe achieved.

This procedure is done under sedation with local anesthesia and takes about one and one half-hours. In most cases, results are immediately visible. á

Face lift or a Rhytidectomy:
ááááááááIt isáchoosenábyámost ofáour patientsáto restore a more youthful appearance by removing major wrinkles and sagging skin. It involves tightening of the facial and neck muscles as well as the removal of any excess skin. The skin begins to wrinkle and sag with the age, as result of sun exposure and as per heridity. Children and young adults have smooth, round faces due to evenly distributed fatty tissues in facial contours. Over time, the skin sags and folds in the chin, jaw line and neck become prominent. Not only does a facelift improve facial appearance but also has a dramatic effect on the neck, enhancing its contour and profile.

A facelift is frequently performed in conjunction with blepharoplasty (eyelid surgery), forehead lift, chin augmentation, and/or liposuction to create an overall rejuvenation of the face. The procedure can be repeated as gravity continues its effects after the first surgery.

Facelifts are performed in our centres byátrained cosmetic surgeons. Local anesthesia with intravenous sedation is most commonly used, with premedication to help you relax. General anesthesia is generally not required, but could be usedáif desired.

The aesthetic surgeon will make incisions inside the hairline at the temple, in front of the ear, then around the earlobe and behind the ear, ending at the scalp area. Excess skin is removed and sagging muscles and connective tissues are tightened. In some cases, fatty deposits are removed from beneath the chin and neck. Incisions are closed with small sutures.

The procedure may take up to 5 to 6 hours depending on whether any procedures are performed at the same time.

Ináfew weeksáafter the surgery, the facial skin and area around the ear may be numb. There may also be some temporary discoloration as healing begins, which may take a few months to disappear. Occasionally, the facial nerve is bruised during surgery, resulting in temporary loss of function or sensation. However, actual permanent damage to the facial nerve is rare but reported.

The healing process is gradual, so you will not notice final results for up to 6 months. A single procedure often achieves the desired results. Most patients who have had facelifts are pleased with their new, more youthful appearance.

Genioplasty:
Many people have a chin that is just too small for their face. When one has a lack of chin projection, the face is weakened. It can also make the nose look longer than it really is. For this reason, many patients will seek surgery to improve the appearance of the chin. This is accomplished by an osteotomy or by inserting a small synthetic implant over the natural bone. The operation can also greatly enhance the results of a face lift, since loss of chin projection may occur with aging. Chin augmentation is also commonly combined with facial liposuction, where fat is removed from under the chin and from the neck.

A small incision is made either underneath the chin or inside the mouth. A sterile implant, similar to the consistency of a normal chin, is placed in front of the bone to increase the projection of the chin. The implant is secured and the incision is sutured closed. Alternatively, a bony osteotomy may be performed and the chin and soft tissues are advanced to create facial balance and a natural, improved appearance.

Some swelling and bruising can be expected and usually subsides within the first two weeks. A tape of elastic dressing may be recommended for a period of time. Mild discomfort is usually easily controlled with medications prescribed by our surgeon.

After healing, the skin drapes smoothly over the implants. The implants themselves conform to the bone and are usually undetectable. The added projection of the chin results in significant improvement which is especially apparent in profile.

Botox:
Botox injections are used to weaken the fine muscles around the eyes and forehead that are responsible for the frown lines and deep wrinkles that occur in these areas. By selectively weakinging the proper muscles, the surgeon can eliminate the wrinkles without disturbing normal function.

Treatment consists of a number of tiny injections made through a very fine needle directly into the muscle. Effects of the injections begin to appear within a few days. The results generally last around four to six months, after which time, the injections must be repeated.

Facial Rejuvenation:

Laser Resurfacing

Laser Resurfacing Surgery is performed with a "super-pulsed" carbon dioxide (CO2) laser to minimize wrinkles and lines on the face. Laser surgery involves a specialized beam of light energy, which is absorbed by the skin and surrounding tissues and minimizes lines or makes precise surgical incisions. In laser resurfacing, lines on the face can be significantly improved. This procedure is performed under sedation with local anesthesia. Redness may persist for several weeks and make-up can usually be applied in seven to ten days.

Chemical Peels
A chemical peel is a treatment that chemically exfoliates the skin's top layers to reveal the softer and healthier skin below. Chemical peels are used to treat a variety of skin conditions. This can include environmentally damaged/hyper pigmented, acne prone and even sensitive skin types. In many cases, wrinkles caused by sun damage, aging, and heredity can be reduced and even eliminated through the use of a series of chemical peels. Irregular skin pigmentation, sun-damaged skin, and even precancerous keratoses may improve as a result of chemical peels. Chemical peels can increase the skin's tolerance to external factors and control acne. The strength of the chemical peel is determined by the patient's individual skin type and the degree of damage to the skin. This procedure is not effective in the treatment of more severe wrinkles, sagging, and budging which often require a surgical procedure such as a facelift or liposculpture.

Dermabrasion
Dermabrasion is a surgical procedure whereby the skin's surface irregularities are diminished by abrading or "sanding" the skin with special diamond rotary instruments. Your surgeon carefully reduces the skin surface to a specific depth and after a period of healing the skin is smoother with fewer irregularities.

Often, more than one technique is used to give the best improvement in the appearance of facial scars and wrinkles. For example, frequently a dermabrasion will be performed several weeks after scar revision. Sometimes, dermabrasion and chemical peel are performed together or in sequence to treat deeper wrinkles, such as those occurring around the lips.

Most of these procedures are performed using a light intravenous sedative and local anesthesia. Sometimes a surgeon will apply cold packs to the ace before dermabrasion. Depending on the amount of area to be treated, surgery usually lasts between 30 to 90 minutes. You should experience little, if any, discomfort.

Reconstructive surgery:
Our preferred plastic surgeons areáextensively trained áin renowned western hospitals for these surgeries and our results are appreciable as compare to western world at very economical cost.áWe are performingásurgeriesáfor:
  • Post burn scars
  • Post cancer surgery
  • Facial reconstruction after accidents and onco surgeries
  • Limb reconstructionáand corrective surgeries after blast injuries, mines injuries, after road and industrial accidents, cancer surgeries, polio myelitis and congenital deformities, deformitiesáof medical negligenceáetc.
  • Laser Treatment for Varicose Veins
Cosmetic & Plastic Surgeons:
  • Dr. Sunil Choudhary
  • Dr. Ashutosh Mishra
  • Dr. Lokesh Kumar
  • Dr. Rashmi Taneja









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